GATEWAYS FCTP
NPI 1851420079
Clinic/Center - Mental Health (Including Community Mental Health Center) in Los Angeles, CA
- Organization
- Clinic/Center
- Mental Health (Including Community Menta...
- CLIA Number: 05D1077006
- CLIA Cert. Type: Hospital
- CLIA Exp. Date: 05-22-2026
About GATEWAYS FCTP
This page provides the complete NPI Profile along with additional information for Gateways Fctp, a provider established in Los Angeles, California operating as a Clinic/center, focusing in mental health (including community mental health center) . The healthcare provider is registered in the NPI registry with number 1851420079 assigned on March 2007. The practitioner's primary taxonomy code is 261QM0801X with license number 930000058 (CA). The provider is registered as an organization and their NPI record was last updated 9 years ago. The authorized official of this NPI record is Phil Wong (Ceo)
- NPI
- 1851420079 Verify this NPI
- Provider Name
- GATEWAYS FCTP
- Entity Type
- Organization
- Location Address
- 1891 EFFIE ST LOS ANGELES, CA 90026
- Location Phone
- (323) 644-2000
- Mailing Address
- 621 S VIRGIL AVE # 300 LOS ANGELES, CA 90005
- Mailing Phone
- (213) 368-5400
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 03-05-2007
- Last Update Date
- 08-15-2017
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Mental Health (Including Community Mental Health Center)
- Taxonomy Code
- 261QM0801X
- Type
- Ambulatory Health Care Facilities
- License No.
- 930000058
- License State
- CA
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 05D1077006
- Facility Type
- Hospital
- Certificate Effective Date
- May 23, 2024
- Certificate Expiration Date
- May 22, 2026
- Laboratory Director
- THOMAS L. HOROWITZ
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Gateways Fctp to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
LOS ANGELES, CA 90026
LOS ANGELES, CA 90026
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1851420079, enumerated as an "organization" on March 05, 2007.
The provider is located at 1891 EFFIE ST LOS ANGELES, CA 90026 and the phone number is (323) 644-2000.
Clinic/Center with taxonomy code 261QM0801X and a focus in Mental Health (Including Community Mental Health Center).